Cognitive Fluctuations as a Challenge for the Assessment of Decision-Making Capacity in Patients With Dementia

被引：48

作者：

Trachsel, Manuel ^{[1
]}

Hermann, Helena ^{[1
]}

Biller-Andorno, Nikola ^{[1
]}

机构：

[1] Univ Zurich, Inst Biomed Eth, CH-8032 Zurich, Switzerland

来源：

AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS | 2015年 / 30卷 / 04期

基金：

瑞士国家科学基金会;

关键词：

decision-making capacity; autonomy; cognitive fluctuations; dementia with Lewy bodies; Alzheimer's disease; Parkinson's disease; ALZHEIMERS-DISEASE; LEWY BODIES; PARKINSONS-DISEASE; INFORMED-CONSENT; DEPRESSED-PATIENTS; COMPETENCE; PREDICTORS; SCHIZOPHRENIA; ATTENTION; AUTONOMY;

D O I：

10.1177/1533317514539377

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Decision-making capacity (DMC) is an indispensable prerequisite for medical treatment choices, including consent to treatment, treatment discontinuation, and refusal of treatment. In patients with dementia, DMC is often affected. A particular challenge in assessing DMC are cognitive fluctuations that may lead to a fluctuation in DMC as well. Cognitive fluctuations are a diagnostic core feature of dementia with Lewy bodies and occur in Parkinson's and Alzheimer's diseases. In this article, these challenges are discussed and suggestions for assessing the DMC of patients with dementia with cognitive fluctuations are presented.

引用

页码：360 / 363

页数：4

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